Cholecystocolonic fistula presenting as a lower gastrointestinal bleeding: Preoperative work-up, treatment options, and literature review

Marc J. Dauer, Oscar K. Serrano

Abstract


Cholecystocolonic fistulae are the second most common choloenteric fistulae, yet only a small percentage are diagnosed preoperatively. This lack of preoperative recognition often leads to intraoperative discovery, leaving little opportunity for preoperative planning. Herein, we present the case of a 59-year-old male who presented with a cholecystocolonic fistula, manifested by lower gastrointestinal bleeding. Recognition of the fistula allowed for medical optimization and preoperative planning. There is currently a shortage of data on the ideal management of cholecystocolonic fistulae. We review the literature on cholecystocolonic fistulae and discuss the alternatives and controversies to the optimal management.


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DOI: http://dx.doi.org/10.5430/ijdi.v4n1p20

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International Journal of Diagnostic Imaging

ISSN 2331-5857 (Print)  ISSN 2331-5865 (Online)

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